| NPI | 1952780686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI REINEKE President 616-649-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301009314) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301009314) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2023-04-21 |